Interventionsstudien zur Unterstützung häuslicher Pflege

Albrecht, Dirk; Pendergrass, Anna; Becker, Clemens; Hautzinger, Martin; Pfeiffer, Klaus

doi:10.1007/s00391-016-1094-1

Cited by 5 publications

(1 citation statement)

References 39 publications

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“…depressive or anxiety symptoms [ 7 - 10 ], or unspecific syndromes such as back pain. There is only a limited number of IADL scales in the German-speaking area, and all available instruments were developed in a geriatric setting [ 6 , 11 - 13 ]. Consequently, they lack questions on factors relevant for young and middle-aged subjects, among them occupational functioning, sporting activity, leisure time, and interpersonal relationships.…”

Section: Introductionmentioning

confidence: 99%

A Self-administered Version of the Functioning Assessment Short Test for Use in Population-based Studies: A Pilot Study

Riegler¹,

Wiedmann²,

Rücker³

et al. 2020

CPEMH

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Background: The Functioning Assessment Short Test (FAST) is an interviewer-administered scale assessing functional impairment originally developed for psychiatric patients. Objectives: To adapt the FAST for the general population, we developed a self-administered version of the scale and assessed its properties in a pilot study. Methods: The original FAST scale was translated into German via forward and backward translation. Afterwards, we adjusted the scale for self-administered application and inquired participants from two ongoing studies in Germany, ‘STAAB’ (Würzburg) and ‘BiDirect’ (Münster), both recruiting subjects from the general population across a wide age range (STAAB: 30-79 years, BiDirect: 35-65 years). To assess reliability, agreement of self-assessment with proxy-assessment by partners was measured via intraclass correlation coefficient (ICC) over the FAST score. Construct validity was estimated by conducting correlations with validated scales of depression (PHQ-9), anxiety (GAD-7), and health-related quality of life (SF-12) and regression analyses using these scales besides potentially disabling comorbidities (e.g. Chronic Back Pain (CBP)). Results: Participants (n=54) had a median age of 57.0 years (quartiles: 49.8, 65.3), 46.3% were female. Reliability was moderate: ICC 0.50 (95% CI 0.46-0.54). The FAST score significantly correlated with PHQ-9, GAD-7, and the mental sub-scale of SF-12. In univariable linear regression, all three scales and chronic back pain explained variance of the FAST score. In multivariable analysis, only CBP and the SF-12 remained significant predictors. Conclusion: The German self-administered version of the FAST yielded moderate psychometric properties in this pilot study, indicating its applicability to assess functional impairment in the general population.

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